Berlin Central School District

Videoconference/Virtual Field Trip Request Form

The process to secure a videoconference/virtual field trip for your classroom includes completing this Request Form.  Once you find a videoconference that correlates and aligns with your grade specific curriculum, complete this form in writing or electronically and send it to Eileen Leffler.  Your request will be reviewed for approval based on curricular congruence, equity of offerings across the grade levels and buildings and available funds.  Once the request is approved, Lauren Nichols will contact the Content Provider with your preferred dates and times.  The requesting teacher and the videoconference points of contact support staff will be contacted as soon as the videoconference is scheduled.  Points of contact and videoconference support staff by building are; Tammy Osterhout – BES, Sue DiNova-GES, Eileen Roder – SES, Tammy Dunlop – MS, and Anne Hayes – HS.

 Database of Video Conference Programs

Program Title: 

 

Requested by:     Date:

 

 

Grade(s) 

Total number of students:

 

Content Provider:

 

Cost:

 

Preferred dates & times (at least 3 possibilities):

 

Grade specific curriculum connections:

 

Administrative Approval:
(to be completed by administrator )

 

Date & Time of scheduled videoconference:
(to be completed by administrator)